Mandibular Bone Fracture Essay

Introduction
Mandible is the largest and strongest of the facial bones. Mandibular bone fracture is the tenth most common fracture in the human body and second most of the facial bones next only to nasal bones. Among the mandibular bone fractures, condylar region is the most frequent site accounting for about 25-35 %.1 Condylar fractures are usually the result of a direct blow to the chin or to the lateral side of the jaw caused by Road traffic accidents, violence, accidental falls and sporting injuries. Injury to the mandibular condyle fracture deserves special consideration apart from the rest of the mandible because of its anatomical differences and healing potential.2 The treatment of condylar fractures has generated a great deal of discussion
There are two principal therapeutic approaches to these fractures: Open reduction or surgical treatment and closed reduction or non surgical treatment.
Many controversies exist as to if, when, and how fractures of the mandibular condyle should be treated.3Many surgeons seem to favor closed treatment with Maxillomandibular fixation (MMF) with arch bars, eyelet wires, or splints. Most cases of the condylar fractures are best managed through closed reduction or nonsurgical means.4The obvious advantage is the avoidance of morbidity and complications associated with surgery. The main objective of nonsurgical method is either to allow bony union to occur, where there is no significant displacement or, in the case of a fracture dislocation, to produce an acceptable functional pseudoarthrosis by re-education of the neuromuscular pathways. The